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Home My WebLink About2031 MAR AZUL WAY; ; CB041281; PermitJ\\~ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-15-2004 Mechanical Permit Permit No: CB041281 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 2031 MAR AZUL WY CBAD MECH 2151301300 Lot#: $0.00 BARTELL RES CHANGE OUT 2 FAU REPLACE 1 NC UNIT AND DUCT WORK 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/15/2004 SB 04/15/2004 04/15/2004 Applicant: ACTION AIR COND.& HEATING-S.D. BARTELL CALIFORNIA PROPERTIES L LC C/O JAYME BARTELL ARNER 2517 BS. SANTA FE VISTA,, CA 92083 619-727-4152 Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Fireplace Installation Fee Exhaust Fan Fee Installation/Relocation Vent Fee Hood Fee Boiler/Compressor to 15HP Fee Other Additional Fees TOTAL PERMIT FEES 3 0 0 0 0 0 28041 MOUNTAIN MEADOW RD ESCONDIDO CA 92026 $15.00 $27.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $42.00 Total Fees: $42.00 Total Payments To Date: $0.00 Balance Due: $42.00 0064 04/J.5/04 )00;> •Jj FINAL APPROVAL DATE J~.,. ("3 ·cttiARANCE 'jlf SIGNATURE._1.8==-1...._fJ?.;;,.----- FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK Nc/:-/5aLI )2 €,J • ~ 7 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. ______ _.___ ___ _ <Jo?--2 1 00 IC/1 IS, /7 1. '. PROJECT INFO)'IM~TION Z.O~\ Mt\t?-,\2..vL \.J A-/ Address (include Bldg/Suite II) Business Name lat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Proposed Use I/of Stories II of Bedrooms II of Bathrooms Address O':t>.gentiJcir•Col')trao_tor City ·; Q Owner . "Q'Ageni'for Owner State/Zip Telephone II Fax II , : 27,0 .5 . S p,\JT~ f): ~ ~l-0:> 7 (,,,0-7 'Z-7 ... I/ 152 Address City State/Zip Telephone II Name Address City State/Zip Telephone II t6~OiHRACTORt§'c:0Mi>'Ni'ri~'.,;Mir· 1 rm ,,, 1. ··r '~ft,; -: ~ ~ ,, (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law !Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code! or that he is exempt therefrom, and the basis for the alleged ex~ption. Any violation of Section 7031.5 by any applicant for ~ermit subjects the applicant to a civil penalty of not more than five hundred dollars .1,5001). ~c..r::ro~ ~1,e. '.2,7'.';'Q S. '::>p..-.,)~p.. {;t:. S:./M. CA 7~-72?_...,/52.. Name Address City State/Zip Telephone II State License II 5C)qf;C>S:: License Class C., -2D City Business License II _______ _ Designer Name Address City State/Zip Telephone State License II -=="-L,._.==---- [il~Woj(KE!lS" COl'J!l>EijSATION~~•, · · rr:, "l. ,....,,.,.: r··~ .. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is ifsued. My worker's c~nsation insurance carrier and policy number are: Insurance Company ~;!!_ AJ \o,..)D Policy No. / Z"'-¾-'2 00 Y Expiration Date /.,. /-Z 00 S- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shell subject an employer to criminal penalties and civil fines up to one hundred thousand dollar 100, 00), In addl · to he cost of compensation, damages as provided for In Section 3706 of the Lab code nterest and attorney's fees. DATE lh 0 O I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project !Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have/ have not! signed an application for a building permit for the proposed work. 3. I have contracted _with the following person (firm) to provide the proposed construction (include name/ address / phone number/ contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number):. ______________________________________________ _ 6. I will provide some of the work, but I have contracted !hired) the following persons to provide the work.indicated (include name / address/ phone number / type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE __________ _ fcoiVrlfCE'fe;,i'f!ifsisECFOffi=bRINON-WES/DENml'i!:aUlloiNG'PERMfrs"()NllY~.:f 1 '' ,,., .: , · ·;, r 'r Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district 7 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 1 0 YES O NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. !lfi:'""fcot-isf!f!rc;:il:)N;flfe}.ip11'{oli%Gfiffcv'1'lcll:,'~~p11-:: ,'%'m'l!' r. ,ir , 1,, ,: · I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued !Sec. 3097(i) Civil Code). LENDER'S ADDRESS, ________________________ _ I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit is1ued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such/2er it isz us ended or abandoned at any time after the work is comm ced or a period 80 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ---::,,.-~~-~~'-',_:--:..-_ _:=~4'=f::.t::=---------------DATE 7' t<r: ?Y YELLOW: Applicant PINK: Finance ( I ?-7-r 7 . m City of Carlsbad Bldg Inspection Request . . Permit# CB041281 For: 05/12/2004 Title: BARTELL RES CHANGE OUT 2 FAU Description: REPLACE 1 A/C UNIT AND DUCT WORK Type: MECH Sub Type: Job Address: 2031 MAR AZUL WY Suite: Lot 0 Location: APPLICANT ACTION AIR COND.& HEATING-S.D. Owner: BARTELL CALIFORNIA PROPERTIES L LC Remarks: AM PLEASE-CALL W/ETA Total Time: Act Comment Inspector Assignment: RB --- Phone: 7604382025 Inspector: ---- Requested By: KAREN Entered By: ROBIN CD Description 43 AlrCond/Furnace Set .iJ?_ _____ _ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 04/26/2004 43 AirConcl/Furnace Set CO RB SEE NOTICE ATTACH.